Principal Software Engineer

This is not a role for 2070.

About Xponentiate:

Xponentiate is a healthcare recruitment partner with deep industry expertise. We connect top talent with the right opportunities through a smart, efficient hiring process. With proven experience building organizations from the ground up—including C-level hires—we’re dedicated to shaping the future of healthcare together.

ecares health, Principal Software Engineer

About Us

Healthcare is broken, especially in underserved communities like the Bronx where 66% of patients are on Medicaid. Fragmented systems are leading to poor health outcomes and extensive financial burden. This is what inspired the inception of ecares health .

We’re a healthcare tech startup spun out of Essen Health Care, one of the largest multispecialty medical groups serving the Bronx and surrounding communities. We work hand-in-hand with doctors and healthcare operators to build infrastructure that connects the entire patient journey, from engagement to scheduling, from clinical recommendations to care management, and from actionable tasks to health outcomes.

Our mission is simple but powerful: to bring concierge-level healthcare to underserved communities at scale. Because everyone deserves high-quality, low-cost, and accessible care.

The Role

As a principal engineer, you'll own the technical strategy and architecture of key feature streams while being deeply embedded in healthcare to identify and build novel solutions that improve care delivery.

You’ll work closely with our 16 off-site engineers, product team, and venture studio to drive key architectural decisions and build scalable healthcare infrastructure. This is a hands-on role where you’ll spend time in clinical settings understanding workflows and pain points, then translate those insights into innovative technical solutions.

Responsibilities

· Own large-scale features from concept to production

· Help define the broader technical architecture and product roadmap

· Translate operational and clinical requirements into technical solutions

· Work directly with operations, clinical leadership, product stakeholders, and engineering teams

· Build systems that are secure, compliant, and performant

· Drive engineering best practices while operating in a fast-moving, startup-style environment

Must-Haves

· Computer science degree or equivalent

· 3+ years of experience in software engineering or similar

· Experience in big tech, high-growth startups, or both

· Comfort working across backend (Python) and frontend (React)

· Cloud infrastructure experience (Azure preferred)

· 0-to-1 development experience

· Experience working with product, operations, or other non-technical stakeholders

· Full-time on-site in the Bronx

Nice-to-Haves

· Leadership experience or interest in growing into leadership roles

· Health tech or healthcare background

· EHR integration experience

· Experience with compliance-heavy environments

· Previous experience working directly with end users to understand workflows

Stage

Pre-seed, bootstrapped by our design partner clinic.